Individual
MRS. KELLY BROOKE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3940 LEE JACKSON HWY, GREENVILLE, VA 24440-1705
(540) 337-2745
Mailing address
3940 LEE JACKSON HWY, GREENVILLE, VA 24440-1705
(540) 337-2745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000014
VA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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